Thank you for selecting AMI/AtlantiCare for your imaging needs. Please tell us about your experience at our facility.

We're committed to monitoring the quality of the service and care we provide, as part of an ongoing improvement process. We would appreciate your feedback on our performance.

Note: If you would like to enter our monthly drawing for a $50 WAWA gift card, please include your name at the end of the survey.

What exam did you have?

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* 1. What exam did you have?

Are you a new patient or an existing patient?

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* 2. Are you a new patient or an existing patient?

FOR NEW PATIENTS: How did you find out about AMI AtlantiCare?

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* 3. FOR NEW PATIENTS: How did you find out about AMI AtlantiCare?

Where was the last place you saw or heard an advertisement for AMI AtlantiCare?

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* 4. Where was the last place you saw or heard an advertisement for AMI AtlantiCare?

I received an appointment in a reasonable amount of time.

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* 5. I received an appointment in a reasonable amount of time.

The receptionist smiled and offered a pleasant greeting.

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* 6. The receptionist smiled and offered a pleasant greeting.

I did not wait past my scheduled appointment time and I was kept informed of any delays.

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* 7. I did not wait past my scheduled appointment time and I was kept informed of any delays.

The technologist escorted me to the exam room and explained the procedure to me prior to my exam.

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* 8. The technologist escorted me to the exam room and explained the procedure to me prior to my exam.

The technologist was pleasant and helpful.

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* 9. The technologist was pleasant and helpful.

I was satisfied with how my exam was performed and my questions were answered thoroughly.

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* 10. I was satisfied with how my exam was performed and my questions were answered thoroughly.

If applicable, I was given helpful information and instructions about post procedure care at home.

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* 11. If applicable, I was given helpful information and instructions about post procedure care at home.

How likely are you to recommend AMI AtlantiCare to your friends and relatives? 10=Extremely Likely, 0=Unlikely

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* 12. How likely are you to recommend AMI AtlantiCare to your friends and relatives? 10=Extremely Likely, 0=Unlikely

Please share your comments or suggestions on how we can improve our level of service and care. We welcome your feedback.

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* 13. Please share your comments or suggestions on how we can improve our level of service and care. We welcome your feedback.

If you would like to be entered in our monthly drawing for a $50.00 WAWA gift card, please include your name.

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* 14. If you would like to be entered in our monthly drawing for a $50.00 WAWA gift card, please include your name.

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